DR. MICHAEL THOMAS JACOBSON


Address: 4771 S Cleveland Ave, Fort Myers, FL 33907-1317
Phone: 2393439800

DR. MICHAEL THOMAS JACOBSON (NPI# 1902016504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902016504
Entity Type Individual
Full Name DR. MICHAEL THOMAS JACOBSON
Credential M.D.
Practice Address 4771 S Cleveland Ave
Fort Myers
FL 33907-1317
Mailing Address Po Box 2147
Fort Myers
FL 33902-2147
Practice Telephone 2393439800
Practice Fax Number 2393439848
Mailing Telephone 2394241400
Mailing Fax Number 2394241421
Enumeration Date 2007-05-23
Last Update Date 2016-11-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0000X Family Medicine
Specialization: Adolescent Medicine
4301053117 MI Allopathic & Osteopathic Physicians

Other Providers MICHAEL JACOBSON

NPI Name Taxonomy Address Enumeration
1700406477 Michael Pescatore Jacobson Student in an Organized Health Care Education/Training Program 8906 Maribou Ct, Highlands Ranch, CO 80130-3315 2020-04-22
1275947509 Michael Jacobson Dentist 1101 N Hillcrest Rd, Beverly Hills, CA 90210-2614 2014-06-14
1609966142 Michael Andrew Jacobson Chiropractor 3201 N 3rd St, Phoenix, AZ 85012-2631 2006-10-13
1366442600 Michael Jacobson Otolaryngology 5408 Discovery Park Blvd, Suite 300, Williamsburg, VA 23188-2893 2005-07-28
1689870289 Michael Evan Jacobson Emergency Medicine 8303 Dodge St, Omaha, NE 68114-4108 2007-06-21
1639390651 Michael Duane Jacobson Family Medicine 2261 Philadelphia Dr, Dayton, OH 45406-1814 2007-05-01
1649352964 Michael A Jacobson Dermatology 1051 Long Ridge Rd, Stamford, CT 06903-4436 2006-10-19
1891884185 Michael Jacobson Psychiatry & Neurology 1 Nolte Dr, Kittanning, PA 16201-7111 2006-10-12
1831284249 Michael Brian Jacobson Pediatrics 250 E Chase Ave, Suite 108, El Cajon, CA 92020-6305 2006-10-03
1316044563 Michael Jacobson Internal Medicine 1421 3rd Ave, Ph, New York, NY 10028-1802 2006-09-20

Office Location

Street Address 4771 S CLEVELAND AVE
City FORT MYERS
State FL
Zip Code 33907-1317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396744827 Andrew H Singh Preventive Medicine 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 2005-07-18
1235789926 Angela Battig Physician Assistant 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 2019-09-16
1013422716 Alex Leyon Lagodzinski Nurse Practitioner 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 2017-12-05
1508395633 Maria Elisa Marconi Physician Assistant 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 2017-06-12
1669924452 Stacy Parker Nurse Practitioner 4771 S Cleveland Ave, Fort Myers, FL 33907 2016-10-27
1356893499 Heidi Alexander Nurse Practitioner 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 2016-10-25
1083072094 Susan Whatley Nurse Practitioner 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 2016-02-04
1740658368 Brittanee Donovan Physician Assistant 4771 S Cleveland Ave, Fort Myers, FL 33907 2015-09-14
1164823043 Sarah Mcgregor Nurse Practitioner 4771 S Cleveland Ave, Fort Myers, FL 33907 2014-09-10
1740697978 Lee Memorial Health System General Practice 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 2014-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134739253 Islande Dorcin Social Worker 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 2020-08-04
1003462268 Ronny Rodolfo Herrera Behavior Technician Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 2019-08-14
1528549094 Deborah Senese Streater Dentist 12530 New Brittany Blvd., Fort Myers, FL 33907 2018-08-23
1437648391 Rita Lusinete Rabitt Registered Nurse 14084 Clear Water Ln, Fort Myers, FL 33907 2018-05-07
1972092146 Surgery Centre of Sw Florida LLC Clinic/Center 13051 University Dr Ste 102, Fort Myers, FL 33907 2018-05-03
1740787761 Care Transport Inc Non-emergency Medical Transport (VAN) 7850 Reflection Cove Dr, Fort Myers, FL 33907 2018-04-06
1942730692 Concierge Care of Fort Myers, LLC In Home Supportive Care 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 2017-06-15
1710411467 Johnnie Terrell Social Worker 43 Barkley Cir #102, Fort Myers, FL 33907 2017-04-19
1881041184 Hchs Medical Center Clinic/Center 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 2016-05-17
1043665227 Tong Liu Dentist 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 2016-04-26
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Taxonomy Information

Taxonomy Code 207QA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adolescent Medicine

Taxonomy Definition

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932408648 Liliam Hernandez Md Pa Family Medicine 15380 Sw 57th Ter, Miami, FL 33193-2515 2011-03-21
1164609210 Lee Brown Family Medicine 3840 Coconut Creek Parkway, Coconut Creek, FL 33066 2008-01-30
1720117690 Parmanand Vijay Poonai Family Medicine 103 Sunset Cir, Port St Joe, FL 32456-2115 2007-03-05
1114032109 Carl F Dennison Family Medicine 3035 E Commercial Blvd, Ft Lauderdale, FL 33308-4347 2006-08-20
1508970989 Rita Garulli Chidiac Family Medicine 2100 Ne 36th St, Suite 101, Lighthouse Point, FL 33064-7574 2006-08-19
1871524181 Deborah Anne Weyer Family Medicine 1658 St Vincent's Way, Suite 320, Middleburg, FL 32068-8459 2006-07-05
1164472627 Harold Silberman Family Medicine 370 Minorca Ave, 2nd Floor, Primecare of Coral Gables, Coral Gables, FL 33134 2006-05-12
1144212135 Orlon Vere Carr IIi Family Medicine 210 Jupiter Lakes Blvd Ste 5103, Jupiter, FL 33458-7192 2005-08-17
1063028850 Carline Grand-pierre Family Medicine 3155 Lake Worth Rd Ste 2, Palm Springs, FL 33461-6917 2020-09-17
1912462771 Parabrahma Pa Family Medicine 6100 Greenland Rd Ste 301, Jacksonville, FL 32258-2626 2019-02-06
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Competitor

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City FORT MYERS
Zip Code 33907

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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